I confirm that all the information given above is accurate to the best of my knowledge and belief. I fully support the Party Constitution, its aims and objectives and the current live manifesto (these can be viewed at ukip.org)
I confirm that if I am a candidate, I will give full public support to any current campaigns.
I agree to UKIP officers holding, disseminating, and using information and data about me.
I agree to speak to all willing members of the press in relation to my candidature, regardless of any feelings I may have regarding any media organisation or journalist.
I have read and fully understood the Proscribed List (https://www.ukip.org/ee-proscribed-list) and have never been associated with any organisation listed on it.
If applicable, I agree to participate in an assessment authorised by the Party Chairman. I will abide by the decisions of said assessment and in case of any dispute, I accept that the decision of the NEC is final.